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Ownership, Coverage, Utilisation and Maintenance of Long-lasting insecticidal nets in Three Health Districts in Cameroon: A Cross-Sectional Study

View ORCID ProfileFrederick Nchang Cho, Paulette Ngum Fru, Blessing Menyi Cho, Solange Fri Munguh, Patrick Kofon Jokwi, Yayah Emerencia Ngah, Celestina Neh Fru, Andrew N Tassang, Albert Same Ekobo
doi: https://doi.org/10.1101/465005
Frederick Nchang Cho
1Global Health Systems Solutions, Cameroon
2Infectious Disease Laboratory, Faculty of Health Sciences, University of Buea, P.O. Box 63, Buea, Cameroon
3Central African Network for Tuberculosis, HIV/AIDS and Malaria (CANTAM), University of Buea, P.O. Box 63, Buea, Cameroon
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  • ORCID record for Frederick Nchang Cho
  • For correspondence: nchang.cho@gmail.com
Paulette Ngum Fru
4Department of Public Health and Hygiene, University of Buea, P.O. Box 63, Buea, Cameroon
5District Health Service Tiko, South West Regional Delegation of Health, Ministry of Health, Cameroon
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Blessing Menyi Cho
6Catholic School of Health Sciences, Saint Elizabeth Hospital Complex, P.O. Box 8 Shisong-Nso, Cameroon
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Solange Fri Munguh
6Catholic School of Health Sciences, Saint Elizabeth Hospital Complex, P.O. Box 8 Shisong-Nso, Cameroon
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Patrick Kofon Jokwi
6Catholic School of Health Sciences, Saint Elizabeth Hospital Complex, P.O. Box 8 Shisong-Nso, Cameroon
7Cameroon Baptist Convention Health Board (CBCHB) – HIV Free Project, Kumbo-Cameroon
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Yayah Emerencia Ngah
8District Health Service Bamenda, North West Regional Delegation of Health, Ministry of Health, Cameroon
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Celestina Neh Fru
9Department of Sociology and Anthropology, University of Buea, P.O. Box 63, Buea, Cameroon
10Atlantic Medical Foundation, Mutengene-Cameroon
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Andrew N Tassang
10Atlantic Medical Foundation, Mutengene-Cameroon
11Department of Obstetrics and Gynaecology, University of Buea, Buea, P.O. Box 63, Buea, Cameroon
12Buea Regional Hospital Annex, Cameroon
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Albert Same Ekobo
13Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Cameroon
14Parasitology Laboratory, University Hospital Centre of Yaoundé, Cameroon
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ABSTRACT

The Bamenda, Santa and Tiko Health Districts are in the highest malaria transmission strata of Cameroon. The purpose of this study was to explore the indicators of ownership and utilisation as well as maintenance of long-lasting insecticidal nets (LLINs) in three health districts in Cameroon. A cross-sectional household survey involving 1,251 households was conducted in the Bamenda, Santa and Tiko Health Districts in Cameroon. A structured questionnaire was used to collect data on LLINs ownership, utilisation, and maintenance as well as demographic characteristics. The average number of LLINs per household was higher in the Bamenda Health District (BHD) compared to the Tiko Health District (THD) (2.5±1.4 vs 2.4±1.6) as well as the household ownership of at least one LLIN (93.3% vs. 88.9%). The proportion of the de facto population with universal utilisation was higher in BHD compared to THD (13.1% vs 0.2%). In multinomial regression analysis, households in the Santa Health District (SHD) (OR = 0.4, 95% = C.I; 0.2 – 0.8, p = 6.10×10−3), were less likely to own at least one LLIN, while those in the BHD (OR = 1.3, 95% = C.I; 0.8 – 2.1, p = 0.33) were more likely to maintain LLINs compared to those in THD. Ownership of LLINs was low in SHD and THD in comparison to the goal of one LLIN for every two household members. Overall, LLINs coverage and accessibility was still low after the free Mass Distribution Campaigns, making it difficult for all household members to effectively use LLINs.

Competing Interest Statement

The authors have declared no competing interest.

Footnotes

  • This revision is mainly to clean statistical analysis and to update results.

  • ABBREVIATIONS

    95% C.I
    95% Confidence Interval
    BHD
    Bamenda Health District
    HA
    Health area
    LLINs
    Long-lasting insecticidal nets
    OR
    Odds Ratio
    p
    Significance value
    SD
    Standard Deviation
    SHD
    Santa Health District
    THD
    Tiko Health District
    χ2
    Chi square
  • Copyright 
    The copyright holder for this preprint is the author/funder, who has granted bioRxiv a license to display the preprint in perpetuity. All rights reserved. No reuse allowed without permission.
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    Posted May 08, 2021.
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    Ownership, Coverage, Utilisation and Maintenance of Long-lasting insecticidal nets in Three Health Districts in Cameroon: A Cross-Sectional Study
    Frederick Nchang Cho, Paulette Ngum Fru, Blessing Menyi Cho, Solange Fri Munguh, Patrick Kofon Jokwi, Yayah Emerencia Ngah, Celestina Neh Fru, Andrew N Tassang, Albert Same Ekobo
    bioRxiv 465005; doi: https://doi.org/10.1101/465005
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    Ownership, Coverage, Utilisation and Maintenance of Long-lasting insecticidal nets in Three Health Districts in Cameroon: A Cross-Sectional Study
    Frederick Nchang Cho, Paulette Ngum Fru, Blessing Menyi Cho, Solange Fri Munguh, Patrick Kofon Jokwi, Yayah Emerencia Ngah, Celestina Neh Fru, Andrew N Tassang, Albert Same Ekobo
    bioRxiv 465005; doi: https://doi.org/10.1101/465005

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